Shadonna Danielle Coleman
Dentist - General Practice
1702 Oak Park Blvd
Lake Charles
, Louisiana 70601-8912
Shadonna Danielle Coleman
Dentist - General Practice
1702 Oak Park Blvd
Lake Charles
, Louisiana 70601-8912
(337) 310-1143
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Shadonna Danielle Coleman
- 1702 Oak Park Blvd
- Lake Charles, LA
- Zip : 70601-8912
- Fax : (337) 310-1143
- Phone : (337) 310-1800
Second Address
- Shadonna Danielle Coleman
- 1702 Oak Park Blvd
- Lake Charles, LA
- Zip : 70601-8912
- Fax : (337) 310-1143
- Phone : (337) 310-1800
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Is Shadonna Danielle Coleman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 6012 | LA |
| Y | 213EG0000X | General Practice | 6012 | LA |
National Provider Identifier
| NPI | 1003141342 |
|---|---|
| Provider Name | Shadonna Danielle Coleman |
| First Address | Lake Charles, LA 70601-8912 |
| Second Address | Lake Charles, LA 70601-8912 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2009 |
| Last Update Date | 05/10/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.